MR. JASON WILLIAM PTAK (PA-C) – Medical Physician Assistant, NPI 1437566338
Medical Physician Assistant
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
551 PHYSICIAN ASSISTANT in AK
Provider Addresses for MR. JASON WILLIAM PTAK (PA-C)
673 MDG
5955 ZEAMER AVENUE
JBER, AK 99508
Phone: (907) 580-8303
Type: Mailing
500 ALBANY AVE
HARTFORD, CT 061202508
Phone: (860) 249-9625
Type: Mailing
1290 SILAS DEANE HIGHWAY, 2ND FLOOR
HARTFORD HEALTHCARE MEDICAL GROUP URGENT CARE-GO HEALTH
WETHERSFIELD, CT 061094337
Phone: (860) 516-5931
Type: Mailing
1215 FARMINGTON AVENUE
BRISTOL, CT 060100101
Phone: (860) 516-5931
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 3 Open Payments records for all available years, with a total value of $58.
Total Amount is formed as General ($58) + Research ($0) + Ownership ($0) = $58.
Last reported payment date: 2024-03-12 • Largest payer in this snapshot: Gilead Sciences, Inc. ($33).
Total Amount
$58
General + Research + Ownership
Payments
3
Total payment records
General Amount
$58
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-03-12
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Gilead Sciences, Inc. | $33 |
| ViiV Healthcare Company | $26 |
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2025-07-18
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 2 Medicare enrollment records; no due dates published yet.
Enrollment records
2
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20220623000411 | I | Physician Assistant | CT | TBD |
| I20250718004006 | I | Physician Assistant | CO | TBD |
What to do next
- No action required while the due date shows TBD.
- Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
- Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 15 | 14 | $0 |
| 87811 | Detection test by immunoassay with direct visual observation for severe acute respiratory syndrome coronavirus 2 (covid-19) | 12 | 11 | $0 |
Insurance plans in this area (ZIP 99508)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Clinical Social Worker | CT | |
| Clinical Social Worker | CT | |
| Clinical Social Worker | CT | |
| Nurse Practitioner | CT | |
| - | CT | |
| Clinical Social Worker | CT | |
| Nurse Practitioner | CT | |
| Nurse Practitioner | MA | |
| O P T O M E T R Y | CT | |
| Nurse Practitioner | CT |
Reviews
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